Ukunciphisa Ingozi kunye nokuPhatha iStroke yesiso
Ukulahlekelwa ngombono ongathandabuzekiyo ngaphandle kwentlungu yiyona nto ibonakalayo yintlungu ebandakanya iso. I-stroke yamehlo, okanye i-anterior ischemic optic neuropathy (AION), yimeko apho ukugeleza kwegazi kuvalwe okanye kuncitshiswe kwiifom zecala langaphambili le-nertic optic. Ukubetha kwamehlo kungabangela ukulahlekelwa ngengozi ngokukhawuleza kombono wendawo, ukuphazamiseka kombono, kunye neendawo eziyimfama kumbono wakho, kwaye ngelixa kunokubangela ukwesatshiswa, unyango lwezonyango luyakuthintela okanye lunciphise ukulahleka kombono.
Ngaba Unayo I-Stroke Yeso?
Abantu abanokubetha kwamehlo bahlala benikwa isilumkiso esincinci. Uninzi lwabantu abane-stroke yamehlo bayaphawula ukulahleka kombono kwelinye iliso xa bevuka ekuseni, kungekho ntlungu. Abanye abantu bayabona indawo ebumnyama okanye isithunzi embonweni wabo ochaphazela inxalenye engaphezulu okanye engaphantsi kwendawo yabo ebonakalayo. Ezinye iimpawu ziquka ukulahleka kobuhluko obubonakalayo kunye nobuthakathaka bokukhanya .
Ukuchonga i-Eye Stroke
Ukuba ugqirha wakho uphonsela ukubetha kwamehlo, uya kuhlolisisa imbali yakho yezobugqirha kwaye abuze malunga nesifo senhliziyo kunye nezimo onokuthi unesifo sikashukela , uxinzelelo lwegazi okanye i-cholesterol ephezulu. Uxinzelelo lwakho lwegazi luya kulinganiswa, kunye ne-central acuity kunye nebala elibonakalayo . Ugqirha wakho uya kuhlutha amehlo akho ukuba ahlolisise i-nertic optic kunye ne- retina . Ugqirha wakho uya kuphinda ahlole i-nertic optic yakho ukujonga umbala obalahle okanye ukukhukhuma kwe-distic disc.
Iliso lakho eliqhelekileyo liya kufaniswa neliso elichaphazelekayo ukufumana utshintsho.
Ugqirha wakho uya kubeka ngokucophelela ngaphandle kwe-ION (i-stroke ebonakalayo echaphazela i-optic nererve) kwaye ubuze malunga neempawu ezinjengomkhuhlane, intloko, ukunyuka kwentloko, ukusila umhlathi, ukulahleka kwesisindo, ukulahleka kwesidlo kunye nokukhathala, ngoko uzimisele ukuxoxa ezi ngongoma.
Iintlobo zeziganeko
Ngokuxhomekeke kwingingqi yeliso apho ukuphuma kwegazi kuvalwe okanye kuncitshiswe, iziganeko ezilandelayo zingenzeka.
- I-Central Retinal Artery Occlusion (i-CRAO): Oku kubakho ngokugqithiseleyo, kwimbono yokulahleka kweso iliso elinye, kungekho ntlungu. Kwenzeka kwi-retina.
- I-Central Retinal Vein Occlusion (I-CRVO): Ngokuqhelekileyo kubangela ukulahlekelwa kombono ongathandabuzekiyo ongenakubuhlungu onokuba ngumnene okanye obunzima, lo khuselo luvela kwindawo ye-Retin vein ephakathi kweso.
- I-Retinal Artery Occlusion (i-BRAO): Oku kuvimba kudla ngokubakho buhlungu kwaye kwenzeka ngokukhawuleza. Isigulane ngokuqhelekileyo silahlekelwa umbono we-peripheral, kwaye ngamanye amaxesha umboniso ophakathi. Izizathu ezixhasayo ziquka ukunciphisa umthambo we-carotid, uxinzelelo lwegazi oluphezulu, ukukhathazeka kwe-cholesterol, kunye / okanye isifo senhliziyo.
- ISebe le-Retinal Occlusion Occlusion (BRVO): Olu hlobo lokuthintela lubangele ukuphaphaza kunye nokucima i-retinal vein Kungabangela ukuphungulwa kombono, ukulahleka kombono wendawo, ukulahleka kombono, ukujonga izinto eziphosakeleyo okanye iindawo eziyimfama. Olu hlobo lubandakanya iso linye kwaye lunokubangelwa ngumfutho wegazi ophezulu okanye isifo sikashukela.
Yintoni Ebangelwa I-Stroke Yeso?
Ukubetheka kwamehlo kubangelwa ukusasazeka kakuhle kwimithambo yegazi enikezela inxalenye engaphambili yentsholongwane ye-optic. I-nertic optic yiyo intambo edibanisa ingqondo kwiso kwaye ithwala izigidi zemigudu yemigudu nemithambo yegazi. Nangona i-stroke yamehlo inokuvela kwindawo yokukhutshwa kwinqwelo yegazi eyenza isondlo se-optic, kubangelwa kakhulu ukungabikho kwengcinezelo okanye ukuxutywa kwezicubu.
Uxinzelelo lwegazi luya kutshintsha ngokubhekiselele kwingcinezelo yamehlo kwaye ukuqhutyelwa kwegazi ngokuqhelekileyo kunciphise. Ukuba i-optic ye-nutrient nut and oxygen supply is cut off, i-nerve tissue yonakaliswe kwaye ilahlekile, nto leyo ibangela ukulahleka kombono.
Usemngciphekweni?
Ukubetha kwamehlo kuqhelekileyo kubantu abadala kunye nabantu abadala. Phantse iipesenti ezili-10 zezigulane ezichaphazelekayo nge-anchemical neuropathy zingaphantsi kweminyaka engama-45. Izifo ze-cardiovascular ziphakamisa umngcipheko wokuphuhlisa eso sifo. Kwezinye izigulane ezineentsholongwane zomzimba, uxinzelelo lwegazi luwela ngokukhawuleza xa lulele. Olu xinzelelo lwegazi oluphantsi luyanciphisa ukusasazeka ngoloo mibhobho, ukwandisa amathuba okubetha kweso, ukwenzela ukunciphisa ingozi yakho yesifo senhliziyo.
Abanye oogqirha banokuvakalelwa kukuba amatsha anesifo esiphezulu esiphezulu, anokunciphisa uxinzelelo lwegazi kakhulu xa elele, ebeka abantu engozini yokubetha kweso, ngoko qi ni sekisa ukuba nixoxe nodokotela wakho ukuba unesifo esixinzelelekileyo kunye nexhala. Kukho ukhetho olukhoyo olufumanekayo kuwe.
Ezinye ii-distic disc shapes ziyakwazi ukuphakamisa umngcipheko we-stroke yamehlo. Imfudu yamagundane eya echotsheni kunye ne-optic nervous kufuneka ifake iliso ngebhodi ebizwa ngokuba yi-optic foramen. Ukuba le mxobo incinci kunomyinge, iimbilini zentsholongwane zinokuthi ziqhutywe. Xa bexakekile, umngcipheko wokuphuhlisa i-occlusion iyanda. Nangona ulwalamano aluqondakali kakuhle, abantu abaneentsholongwane zesifo se-cardiovascular and also taking the drug Viagra basengozini yesifo.
UkuPhatha iStroke yesiso
I-Corticosteroids iboniswe ukwandisa ubunzima obubonakalayo kwezinye iimeko zokubetha kwamehlo xa kuqalwe ngokukhawuleza, oko kutheni kubalulekile ukutyelela ugqirha wakho ukuba ubona utshintsho olusenyakatho kumbono wakho.
Ama-corticosteriod ukunciphisa ukunyameka kweempahla kunye nokuphucula nokuhamba. Ziyonyango olukhethiweyo kwi-AION ngenxa yokuba kuphazamiseka kwamehlo ebonakalayo kubangelwa ngokugqithiswa kwegazi kunye nokuvuvukala, ngokuchasene nokukhuselwa kwangempela kwesitya segazi kwi-particle encinci, okanye emboli. Abanye oogqirha banokumisela izidakamizwa ukunciphisa uxinzelelo lwamehlo ngethemba lokuba kuphuculwe ukuhamba kwegazi kwi-nertic optic.
Kukho uphando malunga nokukwazi ukunikezela amayeza anjenge-neuro-protection, engase ivuselele iimbilini ze-nertic optic. Nangona kunjalo, akukho bungqina obuqinileyo bokuthi ezi ziyobisi zibonelela nayiphi na inzuzo. Olunye unyango lujoliswe ekulawuleni iziganeko zobungozi be-cardiovascular sohlotsheni lweziliso alunakwenzeka kwelinye iliso, njengoko kukho ithuba elingu-30 lokuba liza kwenzeka kwelinye ilanga kwiminyaka emithathu.
ILizwi
Ukubetha kwamehlo kuyingozi yesifo esichukumisayo. Ukuba nomfutho wegazi ophezulu kunye nesifo se-carotid isifo somngcipheko wandisa umngcipheko wokuba uhlaselwa kweso, ngoko kubalulekile ukuthatha amanyathelo afanelekileyo ukuqinisekisa ukuba ezo meko zikhangela . Ukuba unokulahlekelwa ngombono ngokukhawuleza okanye nayiphina impawu yesifo sobuso, qha ga mshelana nodokotela wakho. Ukunyango okukhawuleza kubaluleke kakhulu ekukhuseleni ukulahleka kombono.
> Umthombo:
> IJanijini, i-R. American Academy ye-Opthalmology. I-Smart Smart. 2015.